disabled golf society

Please complete the following fields to register. Once the registration has been accepted, we will contact you in due course.

info-but Your privacy is important to us. The Disabled Golf Society does not rent or sell your personal information to third parties without your consent. To learn more, read our privacy policy.

* Required field

Title*
  

First Name*

Surname*

Address*

Town/City*
  

Postcode*

County*

Telephone*

Fax

Email*

Sex
 Male Female

Disability
Please give a brief discription of disability.
No medical information is required.

Please indicate prefered choice of golf
 9 Holes 18 Holes 18 Holes+ Par 3 Pitch & Putt Other

Golf Club / Society*

Golf Cart / Adaptive Cart
 Yes No

Any Special Requirements?*

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